[Can recurrences after resection of benign thyroid diseases be prevented?].
Analyzing the clinical data of 258 patients whose treatment after thyroid surgery was followed by the TRH-stimulation test over a period of 5 years we found that in 130 patients (93%) sufficient substitution was achieved. The increase in the TSH-level after TRH-stimulation was less than 10 muE/ml. There was no case of recurrence in this group. In 18 patients (7%) who admitted taking medication irregularly, there was an average increase in TSH-level of 16,7 muE/ml. There were two cases of recurrence in this group. The recurrence rate after thyroid surgery can be decreased by sufficient medical treatment resulting in an increase of TSH-level less than 10 muE/ml after TRH-stimulation, providing there is a close follow-up and a high incidence of patients' cooperation.
D006042:Goiter / Q000601:surgery*; D006801:Humans; D010349:Patient Compliance; D012008:Recurrence; D013972:Thyrotropin / Q000096:biosynthesis; D013973:Thyrotropin-Releasing Hormone / Q000627:therapeutic use
D013973:Thyrotropin-Releasing Hormone; D013972:Thyrotropin
Sind Rezidive nach Resektionen benigner Schilddrüsenerkrankungen vermeidbar?